Dr. Bruce E. Ellison, an Orthopaedic Surgeon, performs a diagnostic arthroscopy of shoulders, arthroscopic surgery for rotator cuff tears, instability, recurrent dislocation, and SLAP lesions. Patients can learn about the common shoulder conditions like calcium deposition, rotator cuff tear, frozen shoulder or stiffness, dislocation, shoulder instability, subacromial impingement, SLAP lesion, HAGL lesion, fractures of humerus, clavicle, Acromio clavicular dislocation and arthritis, and Gleno humeral Osteoarthritis by VISITING Dr. Ellison in his office or on his web site at www.bonesdoc.com.Various surgical procedures are performed by Dr. Ellison using arthroscopic methods, and they are described. These are diagnostic arthroscopy, Shoulder stabilisation, arthroscopic subacromial decompression and open subacromial decompression, rotator cuff repair, Bankart repairs, and internal fixation of shoulder fractures. Patients with shoulder pain & problems will find this source of information on shoulder disorders very useful.
Wednesday, June 20, 2007
Monday, June 18, 2007
Osteoarthritis of the knee is a degenerative condition affecting millions of Americans. Though often associated with the aging, osteoarthritis involves an overproduction of degradation enzymes which attack and destroyed cartilage.
Healthy joints, including the knee, are covered by a layer of articular cartilage. The cartilage acts as a cushion providing for smooth gliding surface during range of motion. The articular cartilage has no nerves, and thus there is no pain with activity. However as anyone who has broken a bone knows, there are abundant nerves and pain receptors at the bone. In the knee with osteoarthritis, the cartilage wears away and becomes roughened. If the wear becomes significant, the rubbing a one rough bony surface on another can result in debilitating pain, with resulting stiffness and swelling.
Nonoperative treatment options include behavior modification, drug therapies including hyaluronic acid and steroid injections, braces and electrical stimulation. Operative treatments include partial and total knee replacement.
The Conformis iPD is a custom-made minimally invasive "knee replacement" system. It is indicated for patients with mild to moderate osteoarthritis isolated to the medial or lateral compartments of the knee. The device is precisely made based upon MRI [magnetic resonance imaging] of the individual knee.
The device is bone sparing, meaning that no bone is cut or removed from the knee. The surgery is slightly more extensive than a standard knee arthroscopy, and patients leave for home following surgery the same day. Because of device is custom made to match the contours of the knee, it is self seating. There is no need for bone cementing. There is nothing to get loose with time. More importantly, there is to get loose with use.
Unlike a standard knee replacement which requires avoidance of certain sports activities, there are no such restrictions following iPD knee surgery. The procedure takes roughly one hour, involves an incision between one and two inches long, and the patient walks a few hours after surgery with a knee brace, cane, or crutches.
Patients return to regular activities as tolerated, performing exercises for strengthening and endurance.